Provider Demographics
NPI:1861776700
Name:SENIOR ADULT ACTIVITY CTR MONTGOMERY CTY
Entity type:Organization
Organization Name:SENIOR ADULT ACTIVITY CTR MONTGOMERY CTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:610-275-1960
Mailing Address - Street 1:536 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4638
Mailing Address - Country:US
Mailing Address - Phone:610-275-1960
Mailing Address - Fax:610-275-0878
Practice Address - Street 1:536 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4638
Practice Address - Country:US
Practice Address - Phone:610-275-1960
Practice Address - Fax:610-275-0878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA280371311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)